技术增强的BPT用于早期发病的行为障碍:改善了儿童同时出现内化症状的结果
Justin Parent1,2, April Highlander3, Raelyn Loiselle3
1Warren Alpert Medical School, Brown University.
概括
技术增强的家长培训改善了儿童行为和内化症状的儿童的育儿. 这种方法可以为复杂的病例提供个性化的支持,增强超越标准行为家长培训 (BPT) 的结果.
科学领域:
- 儿童心理学 儿童心理学
- 行为干预行为干预
- 临床研究 临床研究
背景情况:
- 早期发病的行为障碍 (BDs) 很普遍且成本很高,行为家长培训 (BPT) 是标准的早期干预.
- 内化症状是患有BD的幼儿常见的并发症,它们对BPT结果的影响尚不清楚.
- 低收入家庭不成比例地受到早期发病的BD的影响.
研究的目的:
- 与标准的BPT相比,研究技术增强的行为家长培训 (TE-BPT) 的有效性.
- 检查TE-BPT对临床上显著的行为问题家庭观察到的育儿和儿童行为结果的影响.
- 评估TE-BPT对具有更高水平内化症状的儿童的有效性.
主要方法:
- 一项随机对照试验,涉及101个低收入家庭,其中有3至8岁的儿童,临床显著的行为问题.
- 家庭被分配到标准的BPT (帮助不合规儿童 - HNC) 或技术增强的HNC (TE-HNC).
- 儿童的行为和育儿技能在治疗后和随访时被评估.
主要成果:
- 两组患者在治疗后内化症状方面均有改善.
- 与标准HNC相比,TE-HNC在治疗后和随访时在积极的育儿和儿童遵守方面取得了更大的改善.
- 这些好处在基线内化症状较高的儿童中最为明显.
结论:
- 技术增强的BPT (TE-HNC) 有效地改善了育儿和儿童行为结果,特别是在具有高度内化症状的儿童中.
- TE-HNC可以增强治疗个性化,在复杂的病例中潜在地提高家长技能利用率.
- 未来的研究应该正式测试这些额外好处的调解.
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